Individual
STACEY M QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1075 SATELLITE BLVD NW, SUITE 100, SUWANEE, GA 30024-4624
(678) 957-0757
Mailing address
100 GALLERIA PKWY SE, SUITE 410, ATLANTA, GA 30339-3179
(770) 953-6929
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001240
GA
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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